Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Joo Kim, DDS

Individual provider Dentist · NPI 1790920049

Dr. Joo Kim, DDS is a Dentist in Wantagh, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3366 Park Ave
Wantagh, NY 11793-3770
Phone: (646) 784-2703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 054830-1 (NY)
Dentist Taxonomy 122300000X · Licence 22DI02390000 (NJ)

Record details

NPI number1790920049
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 15, 2008
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address3366 Park Ave, Wantagh, NY 11793-3770

Other providers in Wantagh